KUMKUM SARKAR PATEL M.D., MPH
NPI 1003178138
Internal Medicine - Gastroenterology in Fullerton, CA

Q: What is Kumkum Patel's NPI number?

The NPI number for Kumkum Patel is 1003178138. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Q: What is Kumkum Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: Is Kumkum Patel enrolled in Medicare?

No. Kumkum Patel has opted out of Medicare through December 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kumkum Patel was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2012Opted out of Medicare · through Dec 30, 2026

1837 SUNNY CREST DR, FULLERTON, CA 92835(714) 446-5831 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Nov 9, 2021, Sep 24, 2020 and 2 more (5 updates tracked since 2015).

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About Kumkum Sarkar Patel M.d., Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KUMKUM SARKAR PATEL M.D., MPH (NPI 1003178138) is an individual gastroenterology provider in Fullerton, California, licensed in California (A163386) and active in the NPI registry since June 2012. She has opted out of Medicare through December 30, 2026 and remains eligible to order and refer and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1003178138

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameKUMKUM SARKAR PATELCredential: M.D., MPH

Location Address1837 SUNNY CREST DRFullerton, CA 92835-3616

Mailing Address1837 Sunny Crest DrFullerton, CA 92835-3616 · (714) 446-5831

Phone(714) 446-5831

Sole ProprietorNo

Enumeration DateJune 14, 2012

Last NPPES UpdateMay 7, 20245 updates tracked since enumeration

NPPES CertifiedNovember 9, 2021

✔ NPI 1003178138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in CA · A163386✔ Licensed in IL · 036137725

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1837 SUNNY CREST DR, Fullerton, CA 92835

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Secondary Practice Location 1

Location 15744 N Broadway StChicago, IL 60660-4302 · Phone (312) 335-0180 ext. 209 · Fax (773) 275-4679

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kumkum Sarkar Patel M.d., Mph has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 30, 2024 through December 30, 2026.

Opt-Out Effective DateDecember 30, 2024

Opt-Out In Effect ThroughDecember 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

46 services26 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

35 services35 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

22 services22 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA LEE NP

Nurse Practitioner (Family)